Case Study : Child and Family Early Life and Parenting

Assessment Overview

Case Study 1: Scenario

Elizabeth (Lizzie) Sykes is a 22-year-old single mother of two children (ages 5 and 2). She works casually in retail and left school in Year 9. She lives in a rental unit without access to private transport and relies on emergency services for health care.

Recently, she visited a community health centre in her local area with concerns about her children’s development and her own mental wellbeing. She doesn’t have a regular GP and is unsure about the available local services.

Case Study 2: Scenario

Alan Alda is a 78-year-old widower living alone in a modest home in your town or region. He has hypertension, osteoarthritis, and mild memory loss. His closest family lives interstate. Alan relies on the aged pension and does not drive. He occasionally attends the local pharmacy and has begun missing his medications. Recently, Alan fell while walking to the shops, raising concerns about his safety and wellbeing.

He presents to your local community health centre, uncertain about what aged care and health support services are available. Alan would prefer to stay in his own home but feels increasingly isolated and overwhelmed.

Learning outcomes:

1. Critically review the interrelation between global and national primary health care frameworks and the United Nations Sustainable Development Goals, and their implications for nursing practice and healthcare delivery in communities, for different populations across the lifespan.

2. Demonstrate an effective, evidence-informed and strengths-based approach to assessment, planning, delivery and evaluation in nursing practice to meet primary health care needs of individuals, families, groups and communities.

3. Critically examine the role of Australian communities in the development of health strategies, in relation to the component of the WHO primary health care definition of empowering people to optimise their health as policy advocates and co-developers of health services. 

Summary of Assessment Requirements

This assessment requires students to work on two community health case studies involving different populations:

• Case Study 1 (Lizzie Sykes) – A 22-year-old single mother facing social, financial, and health-related challenges, requiring identification of maternal and child health support services, access barriers, and strategies to improve wellbeing.

• Case Study 2 (Alan Alda) – A 78-year-old widower with chronic health conditions, isolation, and difficulties in accessing care, requiring exploration of aged care, safety, and community support strategies.

Key requirements include:

• Critical review of global and national Primary Health Care (PHC) frameworks and their links to United Nations Sustainable Development Goals (SDGs).
• Application of evidence-informed, strengths-based nursing practice in assessment, planning, delivery, and evaluation.

• Evaluation of community involvement in health strategy development, consistent with WHO’s emphasis on empowering individuals and communities.

Approach by the Academic Mentor

The academic mentor guided the student through a step-by-step structured process:

1. Understanding the Case Studies

   • The mentor first encouraged the student to carefully analyse Lizzie’s and Alan’s social, economic, and health circumstances.

   • Focus was placed on identifying social determinants of health (housing, transport, income, family support).

2. Linking to Primary Health Care Frameworks and SDGs

   • The student was guided to connect the scenarios to PHC principles (accessibility, equity, community participation, health promotion).

   • The mentor highlighted relevant SDGs, e.g., Good Health & Wellbeing (SDG 3), Reduced Inequalities (SDG 10), and Gender Equality (SDG 5).

3. Assessment and Care Planning

   • For Lizzie, the focus was on maternal mental health, child development support, and access to local services.
   • For Alan, the focus was on chronic disease management, fall prevention, aged care services, and social support.

   • The mentor encouraged using a strengths-based approach, identifying each client’s existing coping skills and community resources.

4. Evidence-Based Practice and Resources

   • The mentor guided the student to integrate current research, policies, and community health service models to justify recommendations.

   • Use of Australian PHC policies, nursing frameworks, and local health services was reinforced.

5. Evaluation and Reflection

   • The student was directed to propose measurable outcomes (improved service access, enhanced safety, better wellbeing).
   • Reflection on nursing roles as advocates, educators, and coordinators of care was emphasized.

Final Outcome

Through this structured approach, the student:

• Demonstrated understanding of how global and national health frameworks align with local practice.
• Applied nursing assessment, planning, and evaluation to real-world community health challenges.
• Showed critical thinking in addressing barriers to care and recommending realistic, person-centred solutions.
• Met the learning objectives by connecting theory to practice, emphasising community participation, empowerment, and equity in healthcare delivery.

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